THE WOMEN UNIVERSITY MULTAN

APPLICATION FORM FOR ADMISSION (YEAR-2017)

Challan No.1731226 Form No. OL176902 Appix /paste

(Passport size)
Photograph
Session 2017-2021 Admission No_______ Do not staple

Program Applied BS Chemistry

Applying on Open Merit: Reserved Seat: Sports Seat:

Department/Institute Department of Chemistry

Student Name (in block letters) FAKHRAH ZAHOOR

Father's Name (in block letters) ZAHOOR HUSSAIN

Student CNIC/Form-B 36102-6125223-8 Email:

Nationality Domicile Religion

Date of Birth (According to S.S.C) 31/07/1996 Age 21 Years 2 Month 1 Days (on last date of admission)

Address
Tel No (Res)

Cell No (Father/Guardian) Cell No (applicant)

Person to be informed in emergency

Address

Tel No (Res) Cell No

Place of stay during study (please tick) Own House University Hostel Other place
Board/University Registration No

Academic Record
Examination Year Board/University Roll# Marks Marks obtained in Division/G Major subject(s)
obtained / the subject of rade
Total Marks admission

Matric/O level or
Equivalent

F.Sc /
F.A/ICS/D.Com/DBA/A
level or equivalent

BA/B.Sc/B.Com/ or
equivalent 2 year degree

MA/MSc/M.Com/LLB/BS
or equivalent

MS/M.Phil or equivalent

Others

Distinctions Co-curricular

1. Hifz-e-Quran (please tick) Yes / No 1. ____________________________

2. ____________________________ 2. ____________________________
3._____________________________ 3._____________________________
IMPORTANT INSTRUCTIONS
1. Please tick the box according to the program applied for.
2. Incomplete applications shall not be entertained.
3. Any incorrect statemetn made in the form may lead to disciplinary action or cancellation of admission at
any time.
4. Attach attested photocopies of: (a) Academic Certificate (b) Merit Certificate(s) (c) Character Certificate
from Head of Institution last attended (d) Detailed marks certificate of last examination passed (e) Hifz-e-
Quran Certificate (f) CNIC (g) Domicile
i) Once you are offered admission then you must present original documents of (a) Academic Certificates: (b)
Merit Certificate(s): (c) Character Certificate from Head of the Institution last attended: (d) Detailed Marks
Certificate of last examination passed. (e) Hifz-e-Quran Certificate: (f) CNIC (g) Domicile
ii) Two attested photocopies of all above mentioned documents
iii) Two passport size photographs

UNDERTAKING
1. I declare that I am not a member of any political party and that i shall not indulge in politics as long as I
remain a student of the university. I further undertake that i will not challenge the finding/decision of Head of
the Institution regarding my Rustication/ Expulsion from the university or cancellation of my admission at any
stage whatsoever in any Court, Tribunal, Authority or Forum other that the Suprme Court of Pakistan.
2. I hereby undertake that i shall abide by all rules and regulations framed by the university from time to time.
3. I further undretake that i shall not claim hostel accomodation as a matter of right.
4. I hereby certify that I have myself filled in this form and the statements made herein are correct.
5. I hereby declare on oath that I have not been on the rolls of any teaching department of the University of
Constituent college or an affiliated college of postgraduate studies (Master's leverl or Law) for more than six
months.
6. I hereby declare that I have not obtained B.A/BS/BBA/BCS/BFA in case of admission of Bachelor Degree
program. M.A/M.Sc/m.Com/M.B.A/LLB/LL.M in case of admission of Master degree or equivalent degree
from any University.
Note: Items 4 & 5 are not applicable to MS/M.Phill and Ph.D candidates.

(Signature of the Applicant) (Signature of Father/Guardian)

Date: _______________ Date: _______________

For Office Use Only

Application No. ____________________________ Roll No. _____________________

Admission on: Open Merit: Reserved Seat: Sports Seat:

Signature Secretary Admission Committee _________________Chairperson _____________________

Date: _____________________ Date: __________________________

Credit Account 17767901964801 Credit Account 17767901964801

INCOME ACCOUNT- INCOME ACCOUNT-

May be supplied with Admission Form (1) To be givien to depositor (record only)(2)

For Prospectus Online Income For Prospectus Online Income

The Women University Multan The Women University Multan

Bank HABIB BANK LTD, KUTCHERY Bank HABIB BANK LTD, KUTCHERY
ROAD,MULTAN ROAD,MULTAN

Challan Print Date 19/09/2017 Challan Print Date 19/09/2017

1731226 1731226
No No

Name FAKHRAH ZAHOOR Name FAKHRAH ZAHOOR

F. Name ZAHOOR HUSSAIN F. Name ZAHOOR HUSSAIN

Detail of Fee Rs. Detail of Fee Rs.

Prospectus Online 200 Prospectus Online 200
Income Income
- -
Total Amount 200 Total Amount 200

*1731226* Bank Officer

*1731226* Bank Officer

Credit Account 17767901964801 Credit Account 17767901964801

INCOME ACCOUNT- INCOME ACCOUNT-

To be retained by the Bank (3) To Be sent to Treasurer of University (4)

For Prospectus Online Income For Prospectus Online Income

The Women University Multan The Women University Multan

Bank HABIB BANK LTD, KUTCHERY Bank HABIB BANK LTD, KUTCHERY
ROAD,MULTAN ROAD,MULTAN

Challan Print Date 19/09/2017 Challan Print Date 19/09/2017

1731226 1731226
No No

Name FAKHRAH ZAHOOR Name FAKHRAH ZAHOOR

F. Name ZAHOOR HUSSAIN F. Name ZAHOOR HUSSAIN

Detail of Fee Rs. Detail of Fee Rs.

Prospectus Online 200 Prospectus Online 200
Income Income
- -
Total Amount 200 Total Amount 200

*1731226* Bank Officer

*1731226* Bank Officer